Regina Dazzo Fogel, R.N. Valid NPI
Individual provider · Child & Adolescent Psychiatric/Mental Health Registered Nurse · Staten Island, NY
- NPI
- 1801160817
- Type
- Individual (Type 1)
- Primary specialty
- Child & Adolescent Psychiatric/Mental Health Registered Nurse (Registered Nurse)
- Specialty group
- Nursing Service Providers
- Taxonomy code
- 163WP0807X
- License number
- 230967-1 (NY)
- Sex
- Female
- Sole proprietor
- Yes
- Enumerated
- 2012-03-08
- Last updated
- 2012-03-08
Practice location
6581 Hylan Blvd
Staten Island, NY 10309-3830
(718) 984-1526